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CBIC Quiz 3 lectures 9-13

Total questions: 30

Worksheet time: 30mins

Name
Class
Date
1.

A classic sign of measles is:

a)

a. Kaposi sarcoma

b)

b. Stiff neck

c)

c. Koplik spots

d)

d. Bull's-eye rash

2.

Rubeola is transmitted person to person principally by

a)

droplets

b)

airborne

c)

contact

d)

vector

3.

The nurse called the IP informing that Susceptible patients who have been exposed to an individual with measles (contagious) asking how long should they be placed in airborne isolation,the IP should advise her

a)

from the onset of symptoms until 4 days after the onset of the rash

b)

from (9-21) day after exposure

c)

until 10 days after the onset of the rash

d)

from (9-26) day after exposure

4.

PVB19 is transmitted Through respiratory secretions and droplets of saliva so in children who developed the slapped cheek rash appears the IP in his facility should recommend

a)

Droplet precautions

b)

airborne isolatin

c)

no action needed

d)

contact precautions

5.

Rickettsia typhi , transmitted to humans by

a)

contact

b)

droplet

c)

vector

d)

airborne

6.

classic sign of rabies in humans

a)

Headache, and weakness

b)

Hydrophobia

c)

Koplic spot

d)

rash

7.

Acute: (IgM anti-HAV) are used to detect acute HAV infection, are and

1-are present at the onset of jaundice.

2-detectable within 3 weeks of exposure,

3-are present after end of jaundice.

4-detectable within 2 months of exposure,

a)

1,4

b)

2,3

c)

1,2

d)

3,4

8.

A paramedic has been exposed to a patient's blood. The patient is Hepatitis B e Antigen (HBeAg) positive and the paramedic is Anti-HBc and Anti-HBs positive. What is the risk of the paramedic

acquiring Hepatitis B infection from the source patient?

a)

a. There is no risk of infection for the paramed c because he was previously infected and is now immune

b)

b. There is no risk of infection for the paramedic because the patient is not infected

c)

c. There is no risk of infection for the paramedic because he is immune due to vaccination

d)

d. There is a high risk of infection for the paramedic

9.

38-A patient infected with HIV has cavitary lesions on a chest x-ray and is placed in airborne precautions. Which of the following is considered the most likely diagnosis?

a)

(A) Pneumocystis carinii pneumonia

b)

(B) M. avium complex infection

c)

(C) M. tuberculosis infection

d)

(D) histoplasmosis pneumonia

10.

HDV Depends on simultaneous infection with

a)

HCV

b)

HBV

c)

HCV

d)

HIV

11.

HEV is a small RNA virus transmitted

a)

via ingestion of blood

b)

via sexual contact

c)

via ingestion of contaminated water

d)

mucus membranes contact

12.

While making rounds on a nursing unit, the IP encounters a nurse

who has just incurred a needlestick after giving an injection to a patient. The nurse tells the IP that the patient’s recent laboratory

results indicate that he has Hepatitis B, and the nurse has not

completed her Hepatitis B vaccination series. She requests the

IP’s advice. In reviewing the patient’s record, the IP finds that the

patient’s antibody to Hepatitis B is positive and his Hepatitis

B

surface antigen (HBsAg) is negative. The IP’s explanation of the

patient’s laboratory results indicates which of the following?

a)

a. The patient is in the early incubation period of the disease

and has a low probability of transmitting Hepatitis B;

the nurse should report to Occupational Health

b)

b. The patient had Hepatitis B in the past and does not have

active disease now; the nurse should complete her Hepatitis B series as scheduled, but no additional treatment is needed

c)

c. The results indicate a possible error in the results and

another blood sample should be submitted

d)

d. The patient does have Hepatitis B but the disease is

resolving; the nurse should report to Occupational Health

13.

During an inservice for new employees, the IP describes

how Hepatitis B and human immunodeficiency virus (HIV)

are transmitted. A major difference in the epidemiology

of the two diseases is:

a)

a. Presence of the causative agent in body fluids

b)

b. The ability of the diseases to be transmitted during

sexual intercourse

c)

c. The risk of transmission through needlestick exposures

d)

d. The potential for airborne transmission

14.

Serologic testing of a patient for HIV infection reveals the ELISA result to be reactive, but the Western Blot result to be negative. The BEST explanation for these findings is related to

a)

(A) laboratory error

b)

(B) false-negative serology

c)

(C) sensitivity and specificity

d)

(D) a 10- to 12-week incubation period

15.

A woman in active labor with confirmed influenza has been admitted to an acute care facility. Recommendations for preventing influenza transmission between hospitalized infected mothers and their infants include all of the following except:

a)

a. The mother should be placed on Droplet precautions

b)

b. The baby should stay in the same room as the mother

c)

c. Keep the isolette at least 3 feet away from the mother when she is not interacting with the baby

d)

d. The baby should receive formula during the 5-day period following the mother's symptom onset

16.

HSV-1is usually

a)

GENITAL INFECTION

b)

ORAL INFECTION

c)

GASTROINTESTINAL INFECTION

d)

RECTAL INFECTION

17.

Which causative agent can cause hairy leukoplakia.

a)

HSV1

b)

VARICELLA ZOSTER

c)

Epstein-Barr virus (EBV)

d)

CYTOMEGALOVIRUS

18.

HHV-8 known as

a)

Alpha herpes virus ,Kaposi's sarcoma-associated herpesvirus

b)

gamma herpes virus ,Kaposi's sarcoma-associated herpesvirus

c)

causes roseola like syndrome in children.

d)

Infectious mononucleosis (IM)

19.

Patients diagnosed by chlamydia trachomatis should be instructed to refer their sex partners for evaluation, testing, and treatment if they had sexual contact with the patient during

a)

the 6 months preceding onset of the patient's symptoms or chlamydia diagnosis.

b)

the 60 days preceding onset of the patient's symptoms or chlamydia diagnosis.

c)

the first week preceding onset of the patient's symptoms

d)

no precaution needed

20.

The recommended infection prevention measures in caring a patient with Gonorrhea has Urethral discharge and dysuria is

a)

standard precautions

b)

contact precautions

c)

droplet precautions

d)

droplet and standard precautions

21.

The best therapy for treatment for all stages of syphilis is

a)

azithromycin

b)

ceftriaxone

c)

ciprofloxacin

d)

Penicillin G

22.

generalized steochondritis and perichondritis causing saddle nose) & (saber shins) in

a)

Primary SyphilIs

b)

Donovanosis

c)

tertiary SyphilIs

d)

Lymphogranuloma venereum

23.

The ulcers have rolled edges, look "beefy red," are very vascular, and tend to bleed easily in

a)

GRANULOMA INGUINALE (DONOVANOSIS)

b)

EPIDIDYMITIS

c)

VULVOVAGINAL CANDIDIASIS

d)

Trichomoniasis

24.

Best diagonestic test to asses disease activity & treatment response in Syphillis is

a)

Treponemal titers

b)

Nontreponemal antibody titers

c)

The OSOM Trichomonas rapid test

d)

The cervical Pap tests

25.

lipid emulsions mostly contaminated by

a)

Scedosporium spp.

b)

Malassezia spp.

c)

Exserohilum rostratum

d)

Fusarium spp,

26.

Chagas disease in South America is transmitted by

a)

flying insects

b)

Reduviidae spp. bed bugs

c)

Pediculus humanus capitis

d)

larvae (maggots) of a large variety of dipterous flies

27.

all of the following are water-or foodborne protozoa except

a)

Entamoeba histolytica

b)

Blastoschizomyces capitatus

c)

Blastocystis hominis

d)

Dientamoeba fragilis

28.

Which of the following does not describe indirect contact transmission?

a)

Mites from a scabies-infested patient

b)

Equipment that is not cleaned, disinfected, or sterilized adequately between patients

c)

Food and water supplies that are not prepared and maintained according to sanitation standards

d)

Inadequate hand hygiene performed by a care provider

29.

leishmaniasis or kalaazar worldwid e; African sleeping sickness (tropical Africa) both infections transmitted by

a)

vector borne transmission

b)

water-foodborne transmission

c)

feco-oral transmission

d)

contact transmission

30.

A patient admitted with Pruritic lesions on hands, webs of fingers, wrists, and extensor surfaces of elbows and knees, as well as outer surfaces of feet, armpits, buttocks, and waist, So his diagnosis is

a)

Scabies

b)

Aspergillus species

c)

Cryptococcus

d)

Myasis